LearnSkin
Course Image: Complex Medical and Systemic Manifestations
M9: Complex Medical and Systemic Manifestations
Sonal Choudhary, MD +4

Welcome to module 9 where we'll review Complex Medical and Systemic Manifestations!

Connective Tissue Disease

This course looks at skin disorders related to connective tissue disease including dermatomyositis and other common connective tissue disorders. The course will discuss clinical presentation, pathophysiology, course, prognosis and therapeutic management, both from a traditional and integrative approach. 

After completing this activity, participants will be able to:

  • Review dermatomyositis, etiology, pathophysiology, clinical presentation, course, prognosis and therapeutic treatment options, both integrative and traditional 
  • List other connective tissue diseases commonly seen in dermatology
  • Describe the clinical presentation, course, prognosis and therapeutic options, both integrative and traditional for scleroderma, morphoea, CREST, and rheumatoid arthritis 

Cutaneous Manifestations of Systemic Disease

This course will look at skin manifestations of systemic disease including those that are associated with metabolic dysfunction, rheumatological conditions, and internal malignancies.

After completing this activity, participants will be able to:

  • Identify dermatological signs that are associated with internal or systemic disease
  • Describe the workup to further assess for internal disease
  • Recall the most common malignancies that can present with cutaneous metastases

Nutrition Related Conditions

This course will review the most common vitamins and micronutrients and how their deficiencies may present in the dermatology clinic.

After completing this activity, participants will be able to:

  • Describe clinical presentation of nutrition related diseases
  • Discuss food sources for common vitamins and zinc
  • Recall the clinical skin signs of insulin resistance

Photodermatologic Disorders

This course will introduce photo-induced dermatoses related to occupation and activity. The course will discuss clinical presentation, pathophysiology, course, prognosis and therapeutic treatment options, from a traditional and integrative approach. 

After completing this activity, participants will be able to:

  • Describe the pathophysiology, epidemiology, clinical course, and prognosis associated with photo-induced and activity related dermatoses
  • List therapeutic options in treatment of photo-induced, occupational, and activity related dermatoses
  • Review differential diagnosis 

Pregnancy Dermatology

This course reviews the etiology, diagnosis and management of the four major dermatoses of pregnancy: Atopic Eruption of Pregnancy, Polymorphic Eruption of Pregnancy, Intrahepatic Cholestasis of Pregnancy, and Pemphigoid Gestationis. We review how the etiology can help guide the diagnostic work up. We design a diagnostic algorithm that takes into account the clinical features, laboratory testing, and timing during pregnancy to guide clinicians in distinguishing between the pregnancy dermatoses. We review safety data when managing the pregnancy dermatoses and key counseling points. Finally, we review the fifth potential pregnancy dermatosis, Generalized Pustular Psoriasis of Pregnancy, and discuss both traditional and novel management strategies of this condition in the pregnant patient.

After completing this activity, participants will be able to:

  • Define the five pregnancy dermatoses 
    • Atopic Eruption of Pregnancy (AEP)
    • Polymorphic Eruption of Pregnancy (PEP)
    • Intrahepatic Cholestasis of Pregnancy (ICP)
    • Pemphigoid Gestationis (PG)
    • Pustular Psoriasis of Pregnancy (PPP)
  • Create a diagnostic algorithm as well as therapeutic options for patients

Safety of Medications in Pregnancy

This course reviews the management of skin disease in the pregnant dermatology patient. We review basic principles in counseling the pregnant patient regarding fetal risk due to medication as well as the FDA and International Pregnancy Classification systems and resources for clinicians. We summarize the safety data for bacterial, viral and fungal treatment in pregnancy. We also review the safety data of topical, light, oral and injectable treatments for psoriasis, atopic dermatitis, cutaneous lupus, pemphigus, and acne patients. This course is full of clinical pearls for counseling your patients of childbearing age with chronic dermatologic disease on both short- and long-term therapy.

After completing this activity, participants will be able to:

  • Discuss management of skin disease in pregnancy
    • Skin Infection
    • Acne vulgaris/acne rosacea
    • Atopic dermatitis
    • Psoriasis
    • Cutaneous lupus
    • Pemphigus

Dermatology in Newborns and Infants

This course will review common skin problems seen in newborns and infants. The etiology, pathophysiology, clinical presentation, course, prognosis and therapeutic treatment options, with both integrative and traditional treatment options will be discussed.

After completing this activity, participants will be able to:

  • Review common skin disorders in the newborn
  • Review common skin disorders in the infant
  • Differentiate between routine and urgent or serious skin disorders including skin related dermatoses
  • Review the etiology, pathophysiology, clinical presentation, prognosis, and the therapeutic interventions of both integrative and traditional Western approaches for these conditions

Faculty

User: Sonal Choudhary
Sonal Choudhary
MD

Sonal Choudhary, MD is a Board certified Dermatologist and fellowship trained Dermatopathologist, who joined the Department of Dermatology in 2016 upon completion of her Dermatopathology Fellowship at the University of Pittsburgh.

Dr. Choudhary received her undergraduate degree and medical degree from Vardhman Mahavir Medical College in New Delhi India. She completed a post-doctoral research fellowship at the University of Miami, where she remained to complete her Preliminary Internship in Internal Medicine, as well as her Residency Program in Dermatology. Dr. Choudhary is also undergoing a fellowship in Integrative Dermatology which will conclude in February of 2024.

While she offers care for all dermatologic conditions, her areas of clinical interest and research are atopic dermatitis, gut and skin microbiome, integrative dermatology, alternative therapies and approaches (herbs, supplements, functional medicine testing) to inflammatory skin diseases (Hidradenitis suppurativa, Acne, Psoriasis, hair loss), nutrition in cutaneous disease and dermatopathology. She is the director of the adult atopic dermatitis clinic and member of the PCOS collaboration group at UPMC Magee. Given her areas of training, Dr. Choudhary offers a holistic and integrative approach for various skin conditions.

Professional memberships

  1. Member of Integrative Dermatology with Integrative Dermatology Certification Program/LearnSkin
  2. Fellow of Pittsburgh Academy of Dermatology
  3. Fellow of Pennsylvania Academy of Dermatology
  4. Fellow of American Academy of Dermatology
  5. Fellow of American Academy of Dermatopathology

Education & Training

  • MBBS, Vardhman Mahavir Medical College, Safdarjung Hospital, New Delhi, India
  • Clinical Internship, Vardhman Mahavir Medical College, Safdarjung Hospital, New Delhi, India
  • Post Doctoral Fellowship, University of Miami Miller School of Medicine
  • Internship, University of Miami and Jackson Memorial Hospital
  • Residency, Dermatology, University of Miami and Jackson Memorial Hospital
  • Fellowship, Dermatopathology, University of Pittsburgh Medical Center
  • Fellowship in Integrative Dermatology with LearnSkin
View Bio
User: Raja Sivamani
Raja Sivamani
MD MS AP

Dr. Raja Sivamani is a board-certified dermatologist and practices as an integrative dermatologist at Pacific Skin Institute. He is an Adjunct Associate Professor of Clinical Dermatology at the University of California, Davis and Director of Clinical Research and the Clinical Trials Unit.He is also an Adjunct Assistant Professor in the Department of Biological Sciences at the California State University, Sacramento and an Associate Professor of Dermatology at California Northstate University, College of Medicine.He engages in clinical practice as well as both clinical and translational research that integrates bioengineering, nutrition, cosmetics, and skin biology. With training in both Allopathic and Ayurvedic medicine, he takes an integrative approach to his patients and in his research.He has published over 100 peer-reviewed research manuscripts, 10 textbook chapters, and a textbook entitled Cosmeceuticals and Active Cosmetics, 3rd Edition with a passion for expanding the evidence and boundaries of integrative medicine for skin care.

View Bio
Fiona Rahbar
Fiona Rahbar
MD

Dr. Rahbar is a board certified physician dermatologist and a fellow of the American Academy of Dermatology. She received her undergraduate training at the University of Pennsylvania and Emory University. Prior to entering medical school, she worked as an English teacher in Argentina before traveling through South America to learn Spanish. After completing four years of medical training at Vanderbilt Medical School she underwent residency training in dermatology at the University of Virginia. She has practiced dermatology in New York, Virginia and is planning to start her practice in Charleston SC in 2025. In her free time she enjoys running, yoga, surfing and ceramics with her family.

View Bio
User: Jenny Murase
Jenny Murase
MD

Dr. Jenny Murase is an Associate Clinical Professor of Dermatology at the University of California, San Francisco (UCSF), and the Director of Medical Dermatology Consultative Services and Patch Testing for the Palo Alto Foundation Medical Group. She provides consultative services for diagnostic dilemmas, adult atopic dermatitis, women’s health in dermatology (such as pregnancy dermatoses and lactation issues), psychodermatology (delusions of parasitosis), and patch testing. She is the co-Editor in Chief of the International Journal of Women’s Dermatology and the Founding and Current Chair of the AAD Women’s Health Expert Resource Group. Dr. Murase received her medical degree from the University of California, Irvine (UCI); she received the Dean’s award and was the first in the School of Medicine to graduate with distinction in clinical research. She completed dermatology residency at UCI, receiving honors from the North American Clinical Dermatologic Society, Women’s Dermatology Society (WDS), American Academy of Dermatology (AAD), Pacific Dermatology Association, and California Society of Dermatology and Dermatologic Surgery while in residency. Board certified in dermatology and active in clinical research and teaching, she was voted by the UCSF residents to be the best dermatology instructor among the adjunct clinical faculty in the department in 2010 and 2020. She serves on the board of the American Contact Dermatitis Society as the Contact Allergen Management Program Council Chair. She was the Chair of the San Francisco Dermatological Society for seven years and continues to serve on the board of the society and represent northern California on the AAD Advisory Board. She has been selected to be a course director at the World Congress, EADV, and AAD Annual meetings the past twelve years, directing over 25 symposia on Women’s Health Therapeutics. For her volunteer work in Africa and as a teacher, she has received Gold Recognition in the AAD Leadership Circle of Volunteerism, the AAD Members Making a Difference award in 2006, and the President’s Volunteer Service Award in 2009. Dr. Murase has authored or coauthored more than 110 peer-reviewed book chapters and articles, and actively reviews for six major dermatology journals.

View Bio
User: Jennifer Ornelas
Jennifer Ornelas
MD

Dr. Jennifer Ornelas is a board-certified dermatologist and pediatric dermatologist. She has conducted translational research investigating botanical extracts as novel treatment options for acne and earned a master’s in clinical and translational research. She is passionate about working with children and adults alike and providing excellent care to all of her patients. She is committed to serving the medically underserved populations of the region and strives to provide culturally competent specialist care in her practice.

View Bio

Related Courses

LearnSkin Logo
All material on this website is protected by copyright. Copyright © LearnHealth Inc. 2024.
This website also contains material copyrighted by 3rd parties.
ABOUT
LEGAL
SUBSCRIBE
To Get Posts Directly In Your Inbox!